The reasons for seeking dental services from unqualified operators: A qualitative study

Authors

  • Siek Jia Wen School of Dental Sciences, Universiti Sains Malaysia, Kampus Kesihatan, 16150 Kubang Kerian, Kelantan, Malaysia.
  • Syirahaniza Mohd Salleh District Dental Officer, Kota Setar/Pendang Dental District Office, Alor Setar,Kedah.
  • Noorul Afiqah Kamarul Zaman School of Dental Sciences, Universiti Sains Malaysia, Kampus Kesihatan, 16150 Kubang Kerian, Kelantan, Malaysia.
  • Mohd Zulkarnain Sinor School of Dental Sciences, Universiti Sains Malaysia, Kampus Kesihatan, 16150 Kubang Kerian, Kelantan, Malaysia.
  • Basaruddin Ahmad School of Dental Sciences, Universiti Sains Malaysia, Kampus Kesihatan, 16150 Kubang Kerian, Kelantan, Malaysia.

DOI:

https://doi.org/10.31436/ijohs.v5i1.241

Keywords:

fake dentistry, illegal dental operator, illegal dental services, reasons for dental services, unqualified operators

Abstract

Dental services are widely available in Malaysia, but individuals are continuously reported seeking the services of non-dentist. This study was aimed at exploring the reasons for seeking dental services by individuals from unqualified operators. A qualitative study was carried out and recruited individuals who sought dental treatment from the operators. The participants were identified from the operators’ online advertisement, social media and using a snowball sampling method. Interviews were conducted face-to-face and through online meetings and recorded digitally. Structured, open-ended, and probing questions were asked using a list of topical guided questions. The recordings were transcribed, and thematic analysis was carried out using Atlas.ti Version 9. The eight participants included in this study had fitted orthodontic appliances and dental veneers, and tooth whitening services done by unqualified operators. The reasons were classified into two main themes. The dental aesthetic reasons are related to the dissatisfaction with teeth presentation including malocclusion, dental spacing and teeth whitening. The theme of non-dental related reasons is categorised into four subthemes: following the trend, cost of services, naïve and access to services. The reasons for seeking dental services from unqualified operators are multifactorial. Individuals who seek services from unqualified operators have a valid need for treatment, but their decision is strongly influenced by non-dental reasons, of which the high cost of treatment at private dental clinics and being naïve about dental services are likely the most important. More public campaigns should be done to educate and raise awareness on the issue to the public.

References

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.

Bernama (2022a). KL, Selangor record highest number of complaints involving fake dentists. The Star Online. Retrieved 7 April 2023, from https://www.nst.com.my/news/nation/2022/06/809337/kl-selangor-record-highest-number-complaints-involving-fake-dentists

Bernama (2022b). Don't be deceived by fake dental braces by uncertified dentists. New Straits Times. Retrieved 7 April 2023, from https://www.nst.com.my/news/nation/2022/10/838866/dont-be-deceived-fake-dental-braces-uncertified-dentists

Castillo-Montoya, M. (2016). Preparing for interview research: The interview protocol refinement framework. Qualitative Report, 21(5), 811–831.

Che Musa, M., Hassan, Y., Suffian, H., Rahman, M., & Mahmood, M. (2019). Danger of Fake Dentists. Retrieved 30 March 2023, from https://www.nst.com.my/opinion/letters/2019/02/463698/dangers-fake-dentists

Fatimah, Z. (2017). Fake dentist grinning from ear to ear. The Star Online. Retrieved 30 March 2023, from https://www.thestar.com.my/news/nation/2017/10/10/fake-dentist-grinning-from-ear-to-ear-the-quacks-now-ive-got-fame-says-vocational-student-who-got-of

Chu, S. J., Goldstein, R. E., Lee, E. A., & Stappert, C. F. (Eds.). (2018). Ronald E. Goldstein's Esthetics in Dentistry. John Wiley & Sons.

Han, D. T. W. (2019). Braces cost in Malaysia – private versus government clinics. Retrieved 30 March 2023, from https://tandentalsurgery.com/braces-cost-in-malaysia-private-versus-government-clinics/

Hansen L. (2013). Fake Braces: Asia’s curious teenage fashion trend. The Associated Press: New York Daily News. Retrieved 30 March 2023, from https://theweek.com/articles/469081/fake-braces-asias-curious-teenage-fashion-trend

Hörster, S. (2015). What do we know from consumers about dental advertising? A scoping study. International Journal of Healthcare Management, 8(4), 217–231.

Iskandar, I. M. (2022, Oct 4, 2022). Health Ministry to continue biting down on fake dentists, says KJ. The Star Online, Retrieved 4 July 2023, from https://www.thestar.com.my/news/nation/2022/10/04/health-ministry-to-continue-biting-down-on-fake-dentists-says-kj

Khalid, A., & Quiñonez, C. (2015). Straight, white teeth as a social prerogative. Sociology of Health and Illness, 37(5), 782–796.

Malaysian Dental Association (2017). Fake dentistry: looks similiar but not the same. Retrieved 30 March 2023, from https://web.mda.org.my/fake-dentistry-looks-similar-but-not-the-same/

Mikkelsen, M. K., Nielsen, D. L., Vinther, A., Lund, C. M., & Jarden, M. (2019). Attitudes towards physical activity and exercise in older patients with advanced cancer during oncological treatment – A qualitative interview study. European Journal of Oncology Nursing, 41, 16-23.

Ministry of Health (2022). Dasar Kesihatan Pergigian Kebangsaan. Program Kesihatan Pergigian, Kementerian Kesihatan Malaysia. Retrieved 10 January 2024, from https://hq.moh.gov.my/ohd/images/pdf/publication/NOHPolicy.pdf

Murali, R., & Marhom, S. (2017, Oct 11, 2017.). Fake dentist gave herself away. The Star Online, Retrieved 30 March 2023, from https://www.thestar.com.my/news/nation/2017/10/11/fake-dentist-gave-herself-away-womans-report-on-patients-who-failed-to-pay-tips-off-health-dept/.

Nor Azlida, M. N., Wan Nurazreena, W. H., Mohd Zambri, M. M., & Zamros Yuzadi, M. Y. (2020). Fake Braces by Quacks in Malaysia: An Expert Opinion. The Annals of Dentistry University of Malaya, 27(6), 33-40.

Park, J. H. (2020). A licensed orthodontist versus do-it-yourself orthodontics. American Journal of Orthodontics and Dentofacial Orthopedics, 157(5), 591-592.

Shah, R., Collins, J. M., Hodge, T. M., & Laing, E. R. (2009). A national study of cross infection control: “are we clean enough?”. British Dental Journal, 207(6), 267-274.

Sorooshian, S., & Kamarozaman, A. A. (2018). Fashion braces: an alarming trend. Sao Paulo Medical Journal, 136(5), 497-498.

Zreaqat, M., Hassan, R., Ismail, A. R., Ismail, N. M., & Aziz, F. A. (2013). Orthodontic treatment need and demand among 12- and 16 year-old school children in Malaysia. Oral Health And Dental Management, 12(4), 217-221.

Downloads

Published

2024-02-29

How to Cite

Siek, J. W., Mohd Salleh, S., Kamarul Zaman, N. A. ., Sinor, M. Z. ., & Ahmad, B. (2024). The reasons for seeking dental services from unqualified operators: A qualitative study. IIUM Journal of Orofacial and Health Sciences, 5(1), 30–40. https://doi.org/10.31436/ijohs.v5i1.241